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输液(输血)不当,可引起循环过度负荷,而产生急性心力衰竭与肺水肿。我院在过去一年中曾遇到5例。为了从中吸取经验教训,特整理报告于下。例1 男,38岁,因寒颤、发热、头痛、全身酸痛、食欲减退1天于1965年3月23日入院。体检:神志清,心脏无异常,血压100/74,左下肺浊音,无啰音。白细胞17,700,中性89%。胸部透视:左下肺炎。入院后给与青霉秦、链霉秦,静脉滴注10%葡萄糖液及5%葡萄糖盐水各500毫升。输液过程中出现气促、烦躁,给予氧气吸入,并放慢输液速度。翌晨,患者神志矇眬,呼吸困难,呼吸道有痰声,呼吸每分钟52次,两肺满布干、湿啰音,心音被掩盖,脉搏细弱,血压下降至80/60,静脉压150毫米水柱。立刻静脉注射毛花洋地黄甙 C、氨茶硷、酒精蒸气与氧吸入等急救,但无效死亡。
Infusion (transfusion) improper, can cause excessive circulation load, resulting in acute heart failure and pulmonary edema. In our hospital in the past year have encountered five cases. In order to learn from the lessons, special report on the next. Example 1 Male, 38 years old, admitted to hospital on March 23, 1965 due to chills, fever, headache, body aches, loss of appetite. Physical examination: clear mind, no abnormal heart, blood pressure 100/74, voiced left lower lung dull, no aural. WBC 17,700, Neutral 89%. Chest perspective: left lower pneumonia. After admission to give penicillin Qin, streptomycin Qin, intravenous infusion of 10% glucose solution and 5% glucose saline 500 ml each. During the infusion process, it causes shortness of breath, irritability, inhalation of oxygen, and slows down the infusion rate. The next morning, the patient was blindfolded, breathing difficulties, respiratory phlegm, breathing 52 times per minute, lungs covered with dry and wet rales, heart sounds were covered, weak pulse, blood pressure dropped to 80/60, venous pressure 150 mm Water column. Immediate intravenous injection of digitalis glycoside C, ammonia theophylline, alcohol vapor and oxygen inhalation and other emergency, but ineffective death.